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Individual

KERRI MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1995 E COALTON RD APT 84-201, SUPERIOR, CO 80027-4552
(720) 534-1071
Mailing address
1995 E COALTON RD APT 84-201, SUPERIOR, CO 80027-4552
(720) 534-1071

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
CO
385HR2065X
Child Physical Disabilities Respite Care
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101YP2500X
OUT OF POCKET
CO
05
101YP2500X
CO
01
101YS0200X
OUT OF POCKET
CO
05
101YS0200X
CO
Enumeration date
08/07/2024
Last updated
08/16/2024
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